[Hiring] Health Information Management Certified Coder @Carle Health

Role Description

The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims.

• Responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers.
• Responsible for understanding and applying coding knowledge to resolve billing edits related to coding.
• Uses Carle electronic medical record systems to review clinical encounters.

Qualifications

• Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
• Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
• Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC)
• Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC)
• Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA)
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)

Requirements

• Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system.
• Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment.
• Develops methodology to provide a coding process that is compliant with regulatory agencies.
• Facilitates optimization of revenue while maintaining compliance standards for the organization.
• Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, and all other necessary coding systems.
• Acts as a liaison for coding and billing staff to ensure accurate charge capture.
• Reports any documentation and coding improvement needs based upon review findings.
• Responsible for maintaining coding certification, knowledge, and skills to successfully perform job duties.
• Performs provider and peer coding audits as requested.
• Assists with monitoring of internal controls for coding and billing.
• Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel.

Benefits

• The compensation range for this position is $23.58 per hour - $39.38 per hour.
• Carle Health offers a comprehensive benefits package for team members and providers.

Company Description

At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected, and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities.

• Nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois.
• Includes eight award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers.
• Developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine.
• Carle hospitals hold Magnet® designations, the nation’s highest honor for nursing care.
• Equal Opportunity Employer; does not discriminate against any employee or applicant for employment.